Motivational Interviewing in improving oral hygiene behaviora review of literature with possible application in Periodontics
H. Esther Nalini1, Punithavathy. R2
Abstract: Success in periodontal therapy is highly dependent upon the ability and willingness of the patient to maintain a good oral hygiene. There is a great need to increase the patient's adherence to oral hygiene instructions, which requires changes in the patient's behavior particularly to improve the long-term treatment success in periodontal patients. Improving patients adherence to instructions require changes in patients behavior regarding the use of oral hygiene techniques, avoidance of deleterious habits and modification of diet in patients with Diabetes mellitus. Inflammatory periodontal diseases require patients to make permanent lifestyle changes because of their chronic nature. This review article is to discuss on the possible effectiveness and application of motivational interviewing in individual tailoring of periodontal treatment with individual goals and problems which is definitely more effective for reaching periodontal health goals than a targeting approach. Key words: oral hygiene, periodontal therapy, motivational interviewing.
1
Reader, Dept of Periodontics,
Senior Lecturer, Dept of Pedodontics, K.S. R Institute of Dental Science and Research. Tiruchengode, Tamilnadu, India.
2
Address for correspondence: Dr. H. Esther Nalini, M.D.S., 2/9, Gayathri Towers, Narayanasamy street, n.g.g.o colony, Erode- 638009 E- mail: nalprince@gmail.com.
Introduction: A high standard of oral hygiene, healthy dietary habits, avoidance of tobacco use are major factors required for attaining and maintaining health 1 in individuals with periodontal disease. Cognitive behavioral interventions have been found to be more effective than only information and oral hygiene instructions2. A cognitive process that appears important in achieving explicit goals is the perceived